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Doctor insights on: Inhaled Steroid Betamethasone

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Dr. Stewart Tepper
251 doctors shared insights

Betamethasone (Definition)

Betamethasone is a steroid that is given in 2 injections 24 hours apart when there is a strong possibility of preterm delivery. It is given between 24 and 34 weeks. It helps mature the lungs of the baby to decrease ...Read more


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Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

No, take your med: Qvar is being prescribed to help control the inflammation in your bronchi so you will be less susceptible to wheezing when challenged. Surgery and anesthesia are challenges. Therefore, you really need to stay on your medication regularly so you will have the easiest time when you are recovering. You should take it every day, even the morning of surgery. Get an asthma checkup before anesthesia. ...Read more

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Does inhaled steroid such as flovent ever made you feel better instantly or within an hr?

Does inhaled steroid such as flovent ever made you feel better instantly or within an hr?

Actually, they do.: This is due to the placebo effect that accounts for around 30% of the improvement with any positive thing we do to improve our health. So even though physicians tell you not to expect measurable improvement for 1-2 weeks you may subjectively feel better very soon. Nothing wrong with that. You'll feel even better in a few weeks when the anti-inflammatory effects of the inhaled steroid kicks in. ...Read more

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Is it possible that an inhaled steroid (advair) could cause type one diabetes in a child? My brother and sister are both are type one.

No: Inhaled steroids have their effect directly in the lung tissue & reach negligible levels in the blood. There is no evidence that even oral steroid use that achieve much higher blood levels cause t1dm. The primary origin of t1dm is an inflammatory response to a preceding infection that triggers loss of Insulin production. Steroids have been studied in efforts to reverse t1dm. ...Read more

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I'm supposed to be off pred/steroids before my alif surgery, what about advair which is an inhaled steroid & flonase, steroid nose spray? Thoughts?

I'm supposed to be off pred/steroids before my alif surgery, what about advair which is an inhaled steroid & flonase, steroid nose spray? Thoughts?

Adrenal suppression: Being on steroids (inhaled, IV or oral) 3 months, can suppress your adrenal glands, leaving them unable to respond adequately to surgical stress. Your concern is important and having a pre-operative visit with your regular doc/rheumatologist to discuss this issue will be important. Okay to discuss with your surgeon as well. You may benefit from stress steroids around your surgery. ...Read more

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How much systemic absorption would there be from a 9mg betamethasone epidural steroid injection?

How much systemic absorption would there be from a 9mg betamethasone epidural steroid injection?

Hard to say: Everyone is different, but we do know that some amount of steroid (usually a small amount) can be absorbed systemically. ...Read more

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If I got injected with steroid just once for a infection that it still make me gain weight?? Or vision problems ? Or bloat? It was betamethasone

If I got injected with steroid just once for a infection that it still make me gain weight??  Or vision problems ? Or bloat? It was betamethasone

Not to worry: Although these can be side effects of chronic use of steroid, one injection as you have described will do none of these things. Hopefully the injection helped whatever you were treating. ...Read more

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What is the difference btw using celestone (betamethasone) or depot Medrol (methylprednisolone) for epidural steroid injections?

What is the difference btw using celestone (betamethasone) or depot Medrol (methylprednisolone) for epidural steroid injections?

Chemical Structure: Among physiatrists, anesthesiologist and other pain physicians, both of these steroids have a unique, and sometimes, interchangeable place in pain blocks depending on anatomical considerations (lumbar, cervical, transforaminal, etc.). Ask your physician what he/she is comfortable using, and why....They'll love the question! ...Read more

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On hypertrophic scarring on lower eyelid, is using betamethasone valerate and a steroid shot okay?

 On hypertrophic scarring on lower eyelid, is using betamethasone valerate and a steroid shot okay?

Possibly: These can reduce the size or progress of a hypertrophic scar. However they should be used intermittantly and sparingly as if steroids are used chronically, they can cause thinning and atrophy of the skin into which the injection occurs. ...Read more

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Betamethasone dipropionate Augmented 0.05% cream I am taking a drug test for a government job which I cannot test for steroids how long will this last?

Betamethasone dipropionate Augmented 0.05% cream I am taking a drug test for a government job which I cannot test for steroids how long will this last?

Don't worry : The topical steroid cream that you are using is a "catabolic" steroid, legal and not part of a job application drug screen. The drug screen would look for "anabolic" steroids which are what body builders use to get very large muscles. The drug screen will not come back positive for steroid use if you are using "catabolic" steroids. ...Read more

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Is it common to have breathlessness in late third trimester? Often tired & exhausted on little exertion? Is it a side effect of steroid celestone (betamethasone)?

No, pregnancy: It is 100% more likely to be a pregnancy symptom than a steroid effect. This sounds extremely normal in my experience. If you are concerned further you should address in person with your OB. Good wishes. ...Read more

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I have a scar that just formed on my right wrist as a result of a car accident. Would steroid creams help lighten the scar. I have an Rx for Betamethasone. As Drs say… Could this possibly do any 'harm ' if use liberally and for short period of time?

I have a scar that just formed on my right wrist as a result of a car accident. Would steroid creams help lighten the scar. I have an Rx for Betamethasone. As Drs say… Could this possibly do any 'harm ' if use liberally and for short period of time?

Probably won't help: Hypertrophic scarring / keloid formation is a frustrating complication in some patients after trauma or surgery. A strong topical steroid like betamethasone may provide a minimal amount of improvement. Basically, you're taking advantage of the side effect of prolonged use which is skin thinning. Use a small amount 2x daily for a month to know if it's working. Injectable steroids might work better. ...Read more

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Using topical steroid on scalp diprosalic betamethasone dipropionate 0.5 the doctor told me its very strong which is medium potency steroid ?

Using topical steroid on scalp diprosalic betamethasone dipropionate 0.5 the doctor told me its very strong which is medium potency steroid ?

CanResearchYourself!: e.g.: https://www.google.com/search?q=potency%20of%20topical%20corticosteroids & http://www.aafp.org/afp/2009/0115/p135.pdf. All steroids (derivatives of cholesterol) work by altering gene expression, worsen blood glucose control (Diabetes Mellitus) & suppress immune system functions (can thus aggravate infections). Often fairly safe short-term if young & apparently healthy, yet can also backfire. ...Read more

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